Individual
DAVID BENJAMIN MARK GANETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, 7 FLOOR MUTCH BLDG, PHILADELPHIA, PA 19104-2640
(215) 662-8777
Mailing address
51 N 39TH ST, 7 FLOOR MUTCH BLDG, PHILADELPHIA, PA 19104-2640
(215) 662-8777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD448727
PA
Other
Enumeration date
05/24/2010
Last updated
05/22/2013
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